Implementing the World Health Organization (WHO) Labour Care Guide to Reduce the Use of Caesarean Section in Four Hospitals in India: A Pragmatic, Stepped Wedge, Cluster Randomized Pilot Trial

The World Health Organization (WHO) Labour Care Guide (LCG) is a new clinical tool that reflects WHO's latest guidelines for effective, respectful care during labour and childbirth. Implementing the LCG into routine care requires a strategy that effectively improves health care provider practices so that the tool is used and interpreted correctly. Such a strategy may optimize the use of caesarean section (CS) along with other intrapartum interventions, health outcomes, and women's experience of care. This trial aimed to (1) develop and optimise a strategy for implementing the LCG and (2) evaluate the implementation of the LCG strategy compared with usual care.

How Simulation and Team Training Can Enable a Newly Minted Cadre of Midwives as Educators and Mentors in India

The Government of India launched the "Guidelines on Midwifery Services" in 2018 to create a new cadre of nurse practitioner in midwifery (NPMs) and build the capacities of NPM educators (NPMEs). The Fernandez Foundation (FF) trained the first cohort of NPMEs selected by the Telangana State government in 2021. FF is responsible for educating NPMEs on how to train NPMs in midwifery competencies as well as developing them as educators. To fulfill the educator competencies, FF, with support from the United Nations Children's Fund (UNICEF), invited PRONTO to offer simulation-based training to build the educator, mentoring, and communication skills of the NPMEs.

Setting Up a Cadre of Local Trainers as Sustainable Skilled Human Resources for Maternal and Newborn Health Care: Lessons Learnt from Rural Maharashtra, India 

Pre-service training of public health care providers is inadequate to provide quality-based primary health care. Hence, locally available skilled resources for undertaking need-specific in-service training is vital for their continuous professional development. Intervention research on capacity-building in maternal and newborn health (MNH) care for public health care providers in two districts of Maharashtra, India, was undertaken during 2017–2022. It aimed to prepare a sustainable group of local trainers with essential clinical and teaching competencies to deliver skills-based training to adult learners.